Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.74 / $184.70 / $7,920.26	Facility		$104.74	$184.70	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $31.50 / $31.50 / $116.70	Facility	50	$31.50	$31.50	$116.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $105.98 / $374.65	Professional		$68.09	$105.98	$374.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $135.13 / $288.33 / $789.00	Professional	50	$135.13	$288.33	$789.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $140.68 / $213.31	Professional		$89.42	$140.68	$213.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.90 / $132.51 / $179.62	Professional		$106.90	$132.51	$179.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $123.08 / $230.85	Facility		$69.98	$123.08	$230.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $130.50 / $189.10	Professional		$90.00	$130.50	$189.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.62 / $145.79 / $191.62	Facility		$103.62	$145.79	$191.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $130.27 / $230.85	Facility		$69.98	$130.27	$230.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $142.35 / $199.50	Professional		$100.48	$142.35	$199.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,109.00	Facility		$737.82	$929.08	$1,109.00
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.73 / $1,393.62 / $1,663.50	Facility	50	$1,106.73	$1,393.62	$1,663.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $145.02 / $212.24	Professional		$101.59	$145.02	$212.24
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $165.26 / $238.32	Professional		$109.29	$165.26	$238.32